Fecal transplantation is a procedure performed for patients suffering from recurrent infections by a type of bacteria called Clostridium difficile. The infection is spread through contact with surfaces contaminated by spores of the bacterium. The range of symptoms include diarrhea, pseudomembranous colitis, fever, nausea and abdominal pain.
In recent times, there has been an increased antibiotic resistance for C. difficile. Fecal bacteriotherapy or stool transplant is an emerging technique for treating patients suffering from such antibiotic resistance.
Fecal microbiota transplant (FMT) involves transplanting fecal bacteria collected from a healthy individual into the gut of patient. The donor’s stool sample is carefully screened and selected for transplant.
A close relative may prove to be suitable donor however, non relatives stool samples may also be effective.
Fresh stools are often used for preparation of an infusion. Once ready, the infusion is administered by means of enema using a colonoscope or through a nasogastric tube.
Indications for the therapy
• Clostridium difficile infection
• Ulcerative colitis
• Multiple sclerosis
• Parkinson’s disease
• Autoimmune disorders
CPT code to be reported – G0455 – Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen
ICD-10 to be reported – A04.7 – Enterocolitis due to Clostridium difficile
For commercial payors:
44705 – Preparation of fecal microbiota for instillation, including assessment of donor specimen
44799 – Fecal instillation by oro-nasogastric tube or enema.
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The information is presented for educational use only. It is not meant to be used to diagnose or treat any medical condition. We have made all reasonable efforts to ensure the information provided in this guide is accurate at the time of inclusion, however, please resort to clinical documentation and your experience to make decisions while coding and billing for procedures.
By Sandeep Paranjape, NextServices